| Adonai Ranch Inc | |
|
5463 Nashville Hwy Deer Lodge TN 37726-3212 | |
| (631) 764-2168 | |
| Not Available |
| Full Name | Adonai Ranch Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5463 Nashville Hwy, Deer Lodge, Tennessee |
| Authorized Official Name and Position | Viviana Houser (OWNER) |
| Authorized Official Contact | 6317642168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adonai Ranch Inc 5463 Nashville Hwy Deer Lodge TN 37726-3212 Ph: (631) 764-2168 | Adonai Ranch Inc 5463 Nashville Hwy Deer Lodge TN 37726-3212 Ph: (631) 764-2168 |
| NPI Number | 1841086592 |
|---|---|
| Provider Enumeration Date | 04/18/2025 |
| Last Update Date | 04/18/2025 |
| Certification Date | 04/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841086592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |